Recently, at the Heart Institute, a patient from Rivne with a diagnosis of polycystic disease with damage to the kidneys and liver underwent remedial nephrectomy – one of the stages of preparing patients with polycystic kidney disease for transplantation.

After all, polycystic kidney disease threatens transplant infection due to cysts, recurrence of pyelonephritis, paranephritis. Remedial staged or one-moment nephrectomy during transplantation is recommended.

Do all patients with polycystic kidney disease have to undergo remedial nephrectomy?

• No. For the final decision, the duration of the disease, the size of the kidneys and cysts, the frequency of recurrence of pyelonephritis, hematuria, and the volume of the excretory function of the patient are taken into account.

Polycystic kidney disease is an inherited kidney disease characterized by the growth of multiple cysts (fluid-filled sacs).

Cysts can also be found in other organs, including the liver, spleen, ovaries, intestines, pancreas, and brain.

Over the years, the cysts enlarge and damage (replace) healthy kidney tissue, leading to decreased kidney function, and causing chronic kidney failure, which eventually requires dialysis or a kidney transplant.

Polycystic kidney disease is the fourth most common cause of chronic kidney disease.

The patient suffering from an autosomal dominant type of polycystic disease underwent a remedial nephrectomy.
The patient was on dialysis for more than 9 years. She had multiple cysts in both kidneys with frequent recurrent pyelonephritis. The operation was successful and the patient is currently on the waiting list.